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Archives of Orthopaedic and Trauma Surgery

Erschienen in:

01.10.2009 | Orthopaedic Surgery

Behaviour of nonresorbable bioactive glass–ceramic implanted into long bone defects: comparison with cancellous allografts

verfasst von: Pavel Šponer, Karel Urban, Elen Urbanová, Karel Karpaš, Pradeep George Mathew

Erschienen in: Archives of Orthopaedic and Trauma Surgery | Ausgabe 10/2009

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Abstract

Introduction

The goal of this retrospective study was to compare the long-term results after implantation of the nonresorbable glass–ceramic material and transplantation of the cancellous allografts into the defects of long bones.

Method

The bone cysts were excochleated and filled using granules of glass–ceramic material or cancellous allografts. Clinical, radiographic and scintigraphic examinations of 30 patients were carried out 2–14 years after their surgery.

Results

Though signs of complete incorporation allowing full weight-bearing capacity were observed on plain radiographs, we detected pain in six out of nine patients after diaphyseal implantation of nonresorbable glass–ceramic. We found an increase in ⁹⁹ ^mTc-methylene diphosphonate uptake on the delayed images in the area of glass–ceramic implantation, mainly in its diaphyseal location. In patients after bone transplantation, the cancellous allografts were completely integrated and the scintigraphic findings were physiological.

Conclusion

The implantation of the nonresorbable glass–ceramic material into the diaphyseal defects of long bones is not suitable based on our study.

Acharya NK, Kumar RJ, Varma HK, Menon VK (2008) Hydroxyapatite-bioactive glass ceramic composite as stand-alone graft substitute for posterolateral vision of lumbar spine: a prospective, matched, and controlled study. J Spinal Disord Tech 21:106–111. doi:10.1097/BSD.0b013e31805fea1f PubMedCrossRef

Aho AJ, Suominen E, Alanen A, Yli-Urpo A, Knuuti J, Aho HJ (2003) Remodeling of the tibia after grafting of a large cavity with particulate bioactive glass- hydroxyapatite: case report on treatment of fibrous dysplasia with 13 years′ follow-up. Acta Orthop Scand 74:766–770. doi:10.1080/00016470310018342 PubMedCrossRef

Andersson OH, Liu G, Karlsson KH (1990) In vivo behaviour of glasses in the SiO₂–Na₂O–CaO–P₂O₅–Al₂O₃–B₂O₃ system. J Mater Sci 1:219–227. doi:10.1007/BF00701080 CrossRef

Asano S, Kaneda K, Satoh S, Abumi K, Hashimoto T, Fujiya M (1994) Reconstruction of an iliac crest defect with a bioactive ceramic prosthesis. Eur Spine J 3:39–44. doi:10.1007/BF02428315 PubMedCrossRef

Athanasiou KA, Zhu C, Lanctot DR, Agrawal CM, Wang X (2000) Fundamentals of biomechanics in tissue engineering of bone. Tissue Eng 6:361–381. doi:10.1089/107632700418083 PubMedCrossRef

Bucholz RW, Carlton A, Holmes R (1989) Interporous hydroxyapatite as a bone graft substitute in tibial plateau fractures. Clin Orthop Relat Res 240:53–62PubMed

Damien E, Revell PA (2004) Coralline hydroxyapatite bone graft substitute: a review of experimental studies and biomedical applications. J App Biomater Biomech 2:65–73

DeLong WG, Einhorn TA, Koval K, McKee M, Smith W, Sanders R, Watson T (2007) Bone grafts and bone graft substitutes in orthopaedic trauma surgery. J Bone Joint Surg 89-A:649–658. doi:10.2106/JBJS.F.00465 CrossRef

Duffy PJ, Masri BA, Garbuz DS, Duncan CP (2005) Evaluation of patients with pain following total hip replacement. J Bone Joint Surg 87-A:2566–2575

10.

Duskova M, Kozak J, Mazanek J, Smahel Z (2000) Augmentation of facial skeleton with ceramics in congenital disorders and in post-traumatic or postoperative deformities: a preliminary report. Eur J Plast Surg 23:57–63. doi:10.1007/s002380050016 CrossRef

11.

Finkemeier CG (2002) Bone-grafting and bone-graft substitutes. J Bone Joint Surg 84-A:454–464PubMed

12.

Hisatome T, Yasunaga Y, Takahashi K, Ochi M (2004) Bone remodelling after impacted cancellous allograft in revision hip arthoplasty based on ^99mTc-MDP bone scintigraphy. Arch Orthop Trauma Surg 124:52–55. doi:10.1007/s00402-003-0589-6 PubMedCrossRef

13.

Holmes RE, Bucholz RW, Mooney V (1987) Porous hydroxyapatite as a bone graft substitute in diaphyseal defects: a histometric study. J Orthop Res 5:114–121. doi:10.1002/jor.1100050114 PubMedCrossRef

14.

Ido K, Asada Y, Sakamoto T, Hayashi R, Kuriyama S (2000) Radiographic evaluation of bioactive glass–ceramic grafts in postero-lateral lumbar fusion. Spinal Cord 38:315–318. doi:10.1038/sj.sc.3100992 PubMedCrossRef

15.

Ilharreborde B, Morel E, Fitoussi F, Presedo A, Souchot P, Pennecot GF, Mazda K (2008) Bioactive glass as a bone substitute for spinal vision in adolescent idiopathic scoliosis: a comparative study with iliac crest autograft. J Pediatr Orthop 28:347–351PubMed

16.

Ito M, Abumi K, Moridaira H, Shono Y, Kotani Y, Minami A, Kaneda K (2005) Iliac crest reconstruction with a bioactive ceramic spacer. Eur Spine J 14:99–102. doi:10.1007/s00586-004-0765-6 PubMedCrossRef

17.

Itokazu M, Matsunaga T, Ishii M, Kusakabe H, Wyni Y (1996) Use of arthroscopy and interporous hydroxyapatite as a bone graft substitute in tibial plateau fractures. Arch Orthop Trauma Surg 115:45–48. doi:10.1007/BF00453217 PubMedCrossRef

18.

Matsumine A, Myoui A, Kusazaki K, Araki N, Seto M, Yoshikawa H, Uchida A (2004) Calcium hydroxyapatite ceramic implants in bone tumour surgery: a long-term follow-up study. J Bone Joint Surg 86-B:719–725. doi:10.1302/0301-620X.86B5.14242 CrossRef

19.

Muschler GF, Nakamoto C, Griffith LG (2004) Engineering principles of clinical cell-based tissue engineering. J Bone Joint Surg 86-A:1541–1558PubMed

20.

Nigro N, Grace D (1996) Radiographic evaluation of bone grafts. J Foot Ankle Surg 35:378–385PubMedCrossRef

21.

Oswald SG, Van Nostrand D, Savory CG, Callaghan JJ (1989) Three-phase bone scan and indium white blood cell scintigraphy following porous coated hip arthroplasty: a prospective study of the prosthetic tip. J Nucl Med 30:1321–1331PubMed

22.

Patka P, Den Hollander W, Den Otter G, Heidendal AK, De Groot K (1985) Scintigraphic studies to evaluate stability of ceramics (hydroxyapatite) in bone replacement. J Nucl Med 26:263–271PubMed

23.

Sponer P, Urban K, Karpas K, Urbanova E (2007) Scintigraphic evaluation of osteoblast activity after implantation of BAS-0 bioactive glass-ceramic into long bone defects. J Child Orthop 1:S14

24.

Strnad Z, Barcalova L, Urban K (1989) Surface active glass-ceramic materials. Sklář a keramik 38:292–299

25.

Suominen EA, Aho AJ, Juhanoja J, Yli-Urpo A (1995) Hydroxyapatite-glass composite as a bone substitute in large metaphyseal cavities in rabbits. Int Orthop 19:167–173. doi:10.1007/BF00181863 PubMedCrossRef

26.

Uchida A, Araki N, Shinto Y, Yoshikawa H, Kurisaki E, Ono K (1990) The use of calcium hydroxyapatite ceramic in bone tumour surgery. J Bone Joint Surg 72-B:298–302

27.

Urban K (2002) Use of bioactive glass ceramics in the treatment of tibial plateau fractures. Acta Chir Orthop Traumatol Cech 69:295–301PubMed

28.

Yamamoto T, Onga T, Marui T, Mizuno K (2000) Use of hydroxyapatite to fill cavities after excision of benign bone tumours. J Bone Joint Surg 82-B:1117–1120. doi:10.1302/0301-620X.82B8.11194 CrossRef

Titel: Behaviour of nonresorbable bioactive glass–ceramic implanted into long bone defects: comparison with cancellous allografts
verfasst von: Pavel Šponer
Karel Urban
Elen Urbanová
Karel Karpaš
Pradeep George Mathew
Publikationsdatum: 01.10.2009
Verlag: Springer-Verlag
Erschienen in: Archives of Orthopaedic and Trauma Surgery / Ausgabe 10/2009
Print ISSN: 0936-8051
Elektronische ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-0839-3

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Abstract

Introduction

Method

Results

Conclusion

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